GEORGIA UROLOGY PA (NPI# 1780809970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780809970 |
| Entity Type | Organization |
| Organization Name | GEORGIA UROLOGY PA |
| Practice Address |
5670 Peachtree Dunwoody Rd Ne Suite 1250 Atlanta GA 30342-1699 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 4042561844 |
| Practice Fax Number | 4042520171 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. MARK A HABER (MANAGING PARTNER) |
| Authorized Official Telephone | 6782844049 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA UROLOGY PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CLIA | 11D0714543 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1447772348 | Georgia Urology Pa | Urology | 4800 Olde Towne Pkwy Ste 220, Marietta, GA 30068-4391 | 2017-07-12 |
| 1154855740 | Georgia Urology Pa | Urology | 2161 W Spring St., Suite C, Monroe, GA 30655-3196 | 2017-04-20 |
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1184089989 | Georgia Urology Pa | Urology | 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 | 2015-12-21 |
| 1528308988 | Georgia Urology Pa | Urology | 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 | 2013-02-21 |
| 1821261744 | Georgia Urology Pa | Urology | 200 Dawson Commons Circle, Dawsonville, GA 30534 | 2008-04-11 |
| 1508081795 | Georgia Urology Pa | Urology | 4645 Timber Ridge Dr Ste 120, Douglasville, GA 30135-7542 | 2007-04-15 |
| 1871144246 | Georgia Urology Pa | Urology | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-09-26 |
| 1073028643 | Georgia Urology Pa | Urology | 4150 Deputy Bill Cantrell Memorial Road, Suite 140b, Cumming, GA 30040 | 2017-12-05 |
| Street Address |
5670 PEACHTREE DUNWOODY RD NE SUITE 1250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784080 | Scott Jeffrey Small | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342 | 2005-07-19 |
| 1619214343 | Kalos Surgical Associates LLC | Otolaryngology | 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 | 2013-01-15 |
| 1497006555 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1215288378 | Nsh Cancer Institute Professional Services A LLC | Pharmacy | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1376843003 | Northside Cardiology-electrophysiology, LLC | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 | 2010-10-28 |
| 1225277809 | Meghan Meyer Williams | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 920, Atlanta, GA 30342-1699 | 2009-02-05 |
| 1174761498 | Kelly Len Jackson | Registered Nurse | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2009-01-23 |
| 1982864443 | Karen D Cowan | Nurse Practitioner | 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 | 2008-06-09 |
| 1548444045 | Kelly Ann May | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2007-12-20 |
| 1144412883 | Megan Christina Sweet | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1033552799 | Andrew Pridjian | Urology | 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342-1776 | 2013-04-12 |
| 1518256890 | Aaron David Weiss | Urology | Emory Univ Hosp Dept of Urology, Ste B1400 1365 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2011-04-07 |
| 1407172877 | Dhruti Mukund Patel | Urology | 1450 S Johnson Ferry Rd, Atlanta, GA 30319 | 2010-04-10 |
| 1598990533 | Tariq S Hakky | Urology | 371 E Paces Ferry Road, Suite 550, Atlanta, GA 30305 | 2009-05-20 |
| 1932351277 | Milton Joseph Deitch | Urology | 5770 Cameron Hall Pl Nw, Atlanta, GA 30328-4896 | 2008-10-17 |
| 1588812440 | Jaime Alan Wan Cheung Wong | Urology | 1800 Howell Mill Rd Nw Ste 500, Atlanta, GA 30318-2594 | 2008-09-04 |
| 1619161007 | Nathan F Pursifull | Urology | 275 Collier Rd Nw Ste 400, Atlanta, GA 30309-1711 | 2007-08-29 |
| 1437275385 | Christopher Paul Filson | Urology | 1365 Clifton Rd Ne Ste B1400, Atlanta, GA 30322-5330 | 2007-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.